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The Change Of Metabolism Indexes Among Crowds Rescued In Mine Disaster

Posted on:2014-09-09Degree:MasterType:Thesis
Country:ChinaCandidate:X N JinFull Text:PDF
GTID:2254330398962189Subject:Internal medicine
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ObjectiveAfter analyzing emergencies caused by fasting and eating human white blood cells, liver and kidney function, blood glucose, blood lipid and metabolism changes of electrolytes and other conventional, in special physiological state change of body metabolism and its law, provide the basis for clinical treatment.MethodsRetrospective analysis of "3.28" flooding accident rescued115cases in routine blood test, liver function, kidney function, blood glucose, blood lipid and electrolyte testing. Time (days) as abscissa, each index value to ordinate, draw saved at different points in time after the change of the curve, using repeated measures analysis of variance to their changing trends of significance, using LSD-t0days rescued comparison test with the consumption of daily changes in these indicators.Results1.Blood cell analyzing changes:0days rescued routine white blood cells (WBC), neutrophil percentage (NEU%) test, WBC normal range of53cases (96.36%), the WBC reduced in2cases (3.64%), white blood cell changes over time the difference was not statistically significant (F=4.854,P=0.15). Rescue NEU%in0days in the normal range of35cases (63.64%), elevated15cases (27.27%), lower5(9.10%) NEU%statistically significant over time (F=21.763,P<0.05).0days rescued WBC and NEU%are the higher then gradually returning to normal.22rescued tips NEU%in0days and again after eating the daily differences are statistically significant (P<0.05). 2. Changes of indexes related to liver function(1)Albumin (ALB):0days rescued routine detection of ALB, ALB rise in4cases (5.48%), ALB reduces2cases (2.74%), ALB in acceptable ranges of67cases (91.78%), but the determination of the value below the normal reference range values; ALB after eating blood levels rising. Repeated measures analysis of variance prompted ALB changes over time of a statistically significant difference (F=7.673,P=0.01).0days ALB rescued22tips and daily after eating a statistically significant difference (P<0.05).(2) Aspartate aminotransferase (AST) and alanine aminotransferase (ALT):0days rescued AST, ALT test data integrity73cases, elevated AST6cases (8.22%), AST67cases in normal range (91.78%), AST no statistically significant change over time (P>0.05). Elevated ALT4cases of persons rescued (5.48%). in the normal range of69cases (94.52%), ALT changes over time of a statistically significant difference (F=7.673,P=0.001). ALT, AST0days rescued are in lower, then rising, except for unusually high clear for those that were at the time of discharge from hospital was back to normal.0days rescued22tip ALT and then after eating the1th,2,4,5.6,8th, a statistically significant difference (P<0.05).(3) Bilirubin:0days rescued bilirubin test data integrity of76cases, direct bilirubin (DBIL) in the normal range of58cases (76.32%), elevated18cases (23.68%). repeated measures analysis of variance indicated in DBIL varies with the time difference was not statistically significant (P>0.05).0days rescued total bilirubin (TBIL) in the normal range of24cases (31.58%), which rises52cases (68.42%), TBIL a statistically significant difference over time (F=146.930,P<0.05).0days rescued indirect bilirubin (IBIL) in the normal range of21cases (27.63%). the rise of55cases (72.37%), IBIL a statistically significant difference over time (F=24.172,P<0.05). By visible elevated total bilirubin on mainly to rising indirect bilirubin, bilirubin after consuming a liquid diet gradually dropped to normal.0days, TBIL and IBIL rescued22tips and were rescued a day after differences were statistically significant (P<0.05).3. Changes of indexes related to renal function:0days rescued routine creatinine (Cr) and blood urea nitrogen (BUN) test, Cr5lower case (6.58%),71cases in normal range (93.42%), but the determination of values above the reference range values, Cr a statistically significant change over time (F=6.651,P<0.05). Rescued76BUN in the normal range (100%), the determination of values above the reference range values, BUN difference statistically significant over time (F=4.474,P=0.008). Cr, the BUN level declining gradually after eating again.0days rescued22tips Cr in8th and7th day after day and eating a statistically significant difference (P<0.05). BUN is rescued after eating and0days2,3,4,5,6,7and8th, a statistically significant difference (P<0.05).4.Change of glucose:0days rescued routine blood glucose (Glu) examination, Glu, in the normal range of45cases (60.81%). Glu elevated in18cases (24.32%), Glu by11cases (14.86%), as the intake increased fasting blood glucose levels return to normal. Hunger blood sugar after eating changes over time a statistically significant difference (F=19.533,P<0.05),22-0days blood glucose and rescued rescued prompted4th,5,6,7and8th after a statistically significant difference (P<0.05).5.Change of triglyceride:0days rescued complete27patients lipid testing information, triglyceride (TG) in the normal range of25cases (92.59%). elevated TG1(3.70%). TG1lower case (3.7%). and then minimize TG after eating the first day after TG levels. Repeated measures analysis of variance indicated in hunger after eating blood lipid changes over time a statistically significant difference (F=2.727.P<0.05),22-0days after TG and rescued rescued tip7.8.9th, a statistically significant difference.6. Electrolyte changes(1) Serum potassium (serum K+):0days rescued K+data integrity to36cases of blood, in the normal range of28cases (77.78%), lower8cases (22.22%), and then consuming significant hypokalemia in patients with early, eat again1week after blood K+levels back to normal, K+over time, a statistically significant difference (F=7.39,P<0.05).22tip, rescued after0days K+and rescued7,8,9th, a statistically significant difference.:0days rescued K+data integrity to36cases of blood, in the normal range of28cases (77.78%), lower8cases (22.22%), and then consuming significant hypokalemia in patients with early, eat again1week after blood K+levels back to normal, K+over time, a statistically significant difference (F=7.39,P<0.05).22tip, rescued after0days K+and rescued7,8,9th, a statistically significant difference(P<0.05).(2) Serum sodium and chloridelon:0days rescued chloride electrolyte (Cl-) and sodium (Na+) data integrity to77, Cl-in the normal range of53cases (68.83%). reduced in24cases (31.17%), Cl-the difference was not statistically significant over time (P>0.05). Na’in the normal range of39cases (50.65%), lower in38cases (49.35%). Na+over time, a statistically significant difference (F=3.811,P=0.014).0days Na+and rescued rescued22tips on the3rd,4,5,6and7th, a statistically significant difference(P<0.05).(3) Serum calcium:Complete75patients rescued0days Ca2+of in formation, Ca2+in the normal range of4cases (5.33%), reducing the71cases (94.67%), Ca2+over time, the difference was not statistically significant (P>0.05).(4) Serum phosphorus ions:Saved information on serum P3+in0days full of20cases, P3+in the normal range of17cases (85%), elevated1(5%),2lower case (10%). P3+over time, the difference was not statistically significant (P>0.05). Conclusion:1. NEU%of starvation the body prone to stress, elevated Glu.2. Hunger caused by elevated blood Cr, decomposition increased creatinine and Creatine phosphate in muscle to generate increased renal blood flow decreased creatinine excretion and hunger reduction.3. Hunger-weakened liver function impaired uptake of bilirubin, elevated serum bilirubin; hunger synthetic proteins lack of raw materials, reduced ability to synthesis of liver function damaged proteins, albumin reduces the human body.4. After eating again with electrolyte metabolism disorders, initially prone to hypokalemia.
Keywords/Search Tags:Stress, refeeding, repeated measures analysis of variance
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